Attachment_4_-_Past_Performance_Questionnaire.doc

N00167-19-R-0020

N00167-19-R-0020

Attachment 4 Recent and Relevant Past Performance Questionnaire

1. Past Performance Assessment. The Naval Surface Warfare Center, Carderock Division (NSWCCD) is soliciting competitive offers from Small Business concerns, to place a contract order for Air Particle Detector (APD) Production Units on behalf of Code 632 – Radiation Technology Group.

It is requested that you complete and submit this questionnaire via e-mail to the following individuals no later than the closing date and time specified in Block 9 of the solicitation:

Naval Surface Warfare Center, Carderock Division (NSWCCD) Attn: Michael Peduto, Contracting Officer (Code 0221)

9500 MacArthur Boulevard West Bethesda, MD 20817-5700 Telephone: (301) 227-5756 Facsimile: (301) 227-3476 E-mail: Michael.Peduto@navy.mil

Naval Surface Warfare Center, Carderock Division (NSWCCD)

Attn: Zelda Rappuhn, Contract Specialist (Code 0221)

9500 MacArthur Boulevard

West Bethesda, MD 20817-5700

Telephone: (301) 227-3800 Facsimile: (301) 227-3476 E-mail: Zelda.Rappuhn@navy.mil

RETURN THE COMPLETED QUESTIONNAIRE TO THE ABOVE CONTRACTING POINTS OF CONTACT.

*NOTE: IT IS THE RESPONSIBILITY OF THE OFFEROR TO ENSURE ALL PAST PERFORMANCE QUESTIONNAIRES ARE SUBMITTED TO THE GOVERNMENT BY THE PROPOSAL SUBMISSION CLOSING DATE AND TIME.

If you need more space than that provided, please attach additional pages. Responses will be treated as source selection sensitive information. If you have any questions, please contact the Contracting Officer or the Contract Specialist at the above e-mail addresses.

2. Contract Information. Please complete the following:

Contractor:

Contract Number:

Period of Performance:

Dollar Amount at Award:

Dollar Amount at Completion (or Current Dollar Amount, if not Completed):

Contract Type: Fixed-Price; Labor Hour or Time and Material; Cost-Reimbursement (CPFF, CPAF, CPIF, etc.)

Describe the Products or Services:

3. Contract Relevancy. For comparison with the size and scope of Solicitation N00167-19-R-0020, please provide the following information pertaining to the contract identified in Section 2 above:

(a)

Size: $______ per year in contract services.

(b) Scope: Check all that apply:

______ Engineering ______ Production Methodology ______ Facilities ______ Quality Assurance ______ Configuration Management

______ Subcontract Management ______ Other Support (please describe: ________________________)

4. Performance Assessment Values.

5 – Outstanding. Performance meets contractual requirements and exceeds many requirements, to the Government’s benefit. Contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 – Excellent. Performance meets contractual requirements and exceeds some requirements, to the Government’s benefit. Contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 – Good. Performance meets contractual requirements. Contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2 – Satisfactory. Performance barely meets some contractual requirements. Contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented.

1 – Unsatisfactory. Performance does not meet some or most contractual requirements and recovery is not likely in a timely manner. Contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

0 – Not Applicable. Unable to provide a score. Performance in this area not applicable to effort assessed.

5. Assessment Elements. Please select/circle the appropriate performance assessment value for each item on the questionnaire and provide supporting narrative.

a. Cost Control. Rate the contractor’s effectiveness in forecasting, managing, and controlling cost (including reporting and analyzing variances) and ability to deliver at the agreed-to cost/price on the scale provided below.

Provide reasons for changes to the contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes).

Comments:

b. Schedule. Rate the contractor’s ability to deliver according to the agreed-to schedule on the scale provided below.

What were the causes of any schedule variances?

Comments:

c. Mission Requirements. Rate the contractor’s ability to provide a product or service that met your mission requirements on the scale provided below.

Describe the product’s ability to meet the performance requirements, any testing issues/failures encountered, level of effort on the customer’s part to rectify the issue, and timely reporting of any issues/failures.

Comments:

d. Quality. Rate the contractor’s ability to provide a product or service that met your required level of quality, on the scale provided below.

Describe the overall quality of the end product, any quality issues encountered during production, and steps the offeror took to address the immediate problem, and additional quality processes that prevented the problem from occurring again.

Comments:

e. Engineering. Rate the contractor's ability to develop and implement engineering solutions to radiation detection devices and radiation detection device testing.

Describe the product’s intended end use, types of radiation to be detected, its ability to measure the radiation levels as desired, and long-term quality of the product.

Comments:

f. Subcontract Management. Rate the contractor’s ability to award and manage subcontracts, if applicable, on the scale provided below.

Comments:

g. Business Relations. Rate the contractor’s ability to integrate and coordinate all activities needed to execute the contract, specifically the timeliness, completeness, quality of problem resolution, corrective action plans, the contractor’s history of reasonable and cooperative behavior, customer satisfaction, and its ability to submit accurate invoices in a timely manner on the scale provided below.

Comments:

h. Management of Key Personnel. Assess the contractor’s performance in selecting, retaining, supporting, and replacing—when necessary—key personnel.

Comments:

i. Recommendation. To what extent would you recommend this contractor for additional contracts? Rate on the following scale: 5 = Yes, definitely; 4 = Yes, likely; 3 = Maybe, 2 = No, not likely; 1 = No, not ever; 0 = N/A.

Comments:

6. Other References. If you are aware of any other Point of Contact (POC) who is familiar with the contractor’s performance under this contract, please identify below.

Name, Phone, and E-mail Address:

7. Assessor Information. Please provide the following information about yourself and a brief summary of your responsibility in relation to performance under this contract:

Name:

Title:

Address:

Phone Number:

E-mail Address:

Role and Responsibility:

Thank you for your assistance.

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SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104